ROBERT S FAN (NPI# 1154324705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154324705 |
| Entity Type | Individual |
| Full Name | ROBERT S FAN |
| Credential | MD |
| Practice Address |
1600 State Street Salem OR 97301 |
| Practice Telephone | 5035406300 |
| Mailing Telephone | 5035406300 |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2019-06-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | G81021 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 274415 | 05 | |
| CA | 00G810210 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5825 Shoreview Ln N, Keizer, OR 973033978 | 5035406471 | 5035406404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275604480 | Robert Fan | Specialist | 8110 Airport Blvd, Second Floor, Los Angeles, CA 90045-3119 | 2006-11-10 |
| 1316987977 | Robert Fan | Emergency Medicine | 2500 Merced St, San Leandro, CA 94577-4201 | 2006-06-08 |
| Street Address |
1600 STATE STREET |
| City | SALEM |
| State | OR |
| Zip Code | 97301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790941920 | Jeffrey B Knight | Orthopaedic Surgery | 1600 State Street, Salem, OR 97301 | 2008-08-07 |
| 1891702551 | David N Pressman | Orthopaedic Surgery | 1600 State Street, Salem, OR 97301 | 2006-08-02 |
| 1821011024 | Mark E Foglesong | Orthopaedic Surgery | 1600 State Street, Salem, OR 97301 | 2006-07-26 |
| 1689691156 | Harold S Boyd | Orthopaedic Surgery | 1600 State Street, Salem, OR 97301 | 2006-07-17 |
| 1487671954 | Patrick A Thies | Physician Assistant | 1600 State Street, Salem, OR 97301 | 2006-07-17 |
| 1306863873 | John A Stevens | Orthopaedic Surgery | 1600 State Street, Salem, OR 97301 | 2006-07-17 |
| 1215954789 | Richard W Tobin | Orthopaedic Surgery | 1600 State Street, Salem, OR 97301 | 2006-07-17 |
| 1053338517 | Dan G Sewell | Orthopaedic Surgery | 1600 State Street, Salem, OR 97301 | 2006-07-17 |
| 1780601245 | Jerry R Becker | Orthopaedic Surgery | 1600 State Street, Salem, OR 97301 | 2006-07-17 |
| 1508883075 | Robert G Zirschky | Orthopaedic Surgery | 1600 State Street, Salem, OR 97301 | 2006-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450970 | Jehan Seals | Behavior Technician | 3400 State St Set G750, Salem, OR 97301 | 2020-05-29 |
| 1093335929 | Sterling Recovery, LLC | Dietitian, Registered | 3758 Amber St Ne #105, Salem, OR 97301 | 2020-04-21 |
| 1760018360 | Riverfront Mental Health LLC | Counselor | 338 State St, Suite 985, Salem, OR 97301 | 2020-03-16 |
| 1871126888 | Amity Beth Haddon Maxwell | Social Worker | Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 | 2020-02-18 |
| 1861042632 | Brenda Grizelda Vargas | Behavioral Analyst | 3400 State Ste Ste G750, Salem, OR 97301 | 2019-09-13 |
| 1588213177 | Natalie Stone | Registered Nurse | 2045 Siverton Rd Ne, Salem, OR 97301 | 2019-09-06 |
| 1588228720 | Jeramy Disenso | Counselor | 270 Cottage St Ne, Salem, OR 97301 | 2019-04-23 |
| 1801353297 | Gwendolyn Kersey | Registered Nurse | 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 | 2019-02-21 |
| 1841769114 | Spine Clinic PC | Massage Therapist | 1281 Lancaster Drive Ne, Salem, OR 97301 | 2018-11-16 |
| 1013482132 | Kellie Linn Hansen | Physical Therapist | 4049 Market St Se, Salem, OR 97301 | 2018-10-04 |
| Find all providers in zip 97301 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447553185 | Lee T Simon Md Inc | Orthopaedic Surgery | 2222 Oak St, Salem, OH 44460-2520 | 2010-12-20 |
| 1225048374 | Steven R Beranek | Orthopaedic Surgery | 875 Oak Street Se, Suite 3060, Salem, OR 97301 | 2006-08-09 |
| 1770529547 | William S.t. Mayhall | Orthopaedic Surgery | 1280 Center St Ne, Salem, OR 97301-4113 | 2006-06-21 |
| 1104871409 | James M Leipzig Md PC | Orthopaedic Surgery | 1940 Braeburn Cir, Salem, VA 24153-7388 | 2006-05-24 |
| 1013988161 | James Mastin Farmer | Orthopaedic Surgery | 101 Knotbreak Rd, Salem, VA 24153-5404 | 2006-01-27 |
| 1215918305 | Ralph Coburn Sweetland | Orthopaedic Surgery | 9 Colby St, Salem, MA 01970-1901 | 2005-11-07 |
| 1740278969 | John J Coen | Orthopaedic Surgery | 1600 State St, Salem, OR 97301-4257 | 2005-10-11 |
| 1275525123 | Thomas Earl Hoerner | Orthopaedic Surgery | 16 Pelham Rd, Suite 1, Salem, NH 03079-2826 | 2005-08-17 |
| 1356891535 | Virginia Orthopaedic, PC | Orthopaedic Surgery | 1917 Electric Rd, Salem, VA 24153-7424 | 2016-10-11 |
| 1699118208 | Hayden Nicholas Box | Orthopaedic Surgery | 16 Pelham Rd, Salem, NH 03079-3077 | 2013-04-12 |
| Find all providers in SALEM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.